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<br />06/22/2006 16:17 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />14I 004/004 <br /> <br />.. <br />:1,! <br />.,f)~ <br />'ViV <br /> <br />200605618 <br /> <br />Illlfl"l 11'1 1,'1 <br /> <br /> <br />9906458434-0 PIiIS; 1 <br />CRUZ FEL.IPE <br />Filed: 06/22/2006 01 :02 PM <br /> <br />NDOL Office of Legal Counsel <br />P.O. BO:l: 94600 <br />Lincoln, NE 68509-4600 <br />Telephone - (402) 471-9912 <br />FAX -, (402) 471-9917 <br /> <br />_~_~~~?ye2. N~~~:.._, Felip:.~~.~_ fJdJb/~.~.~~~~~~~~~~.,_...._____._______,____.._;___..,......_._'______'______'~-----"-'------'--~'-----.~ <br />Address: 309 N. Walnut Grand Island NE 68801 <br />NDOL Serial No.: l LAB-0136-2006 To be filed with the Register of Deeds in the following Counties: <br /> <br />__~I.~.~~.._._._._..n_~~~.....~~u~.u".__~~~... _u...,.._~~....____.~....~u._._..._.~...n._I....................~_...'M__~"":I _~~.~._.___.~......~........._~....MI~..'...M:.......__....._M.._'_'_n.__ <br />~___.:.... .-~--~~.........~~.---......_- <br /> <br />~~~. <br /> <br />This State Tax Lien is issued for unpaid combined taxes (Neb. Rev. Stat. ~48-657) or payments in lieu of contributions (Neb. Rev. Stat. ~48---660.0 1) pursuant <br />to the Uniform State Tax Lien Registration & Enforcement Act (Ne b. Rev. Stat. ~ 77 -3901, et seq.). Notice is given that coml:)ined taxes or payments in lieu of <br />contributions, interest (computed at 1.5% per month), and penalties are due from this employer and remain unpaid after demand. These combined taxes or <br />payments in lieu of contributions 'constitute a lien for any and all personal property and real propf;rty in the COlUIty/counties named, belonging to the employer, <br />whether now owned or hereafter acquired. <br /> <br />~ ORIGINAL <br /> <br />STATE TAX LIEN. NEBRASKA DEPARTMENT OF LABOR <br /> <br />Qtr. / Yr. <br /> <br />, Penalty <br /> <br />Interest <br />Through <br /> <br />Subtotal <br /> <br />TOTAL Combined Tax or Payment in Lieu of Contributions Due (under this lien only): <br /> <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the <br />determination of the amount due, and the employer has failed,to pay the amount due after demand'. ' <br />FERNANDO LECUONA, ill <br />Commissioner of Labor <br /> <br />a~ Ot/--- <br /> <br />-JOHN H. ALBIN, Agency Legal Counsel <br />THOMAS A. UKlNSKI, Legal Counsel <br />W. RUSSELL BARGER, Legal Counsel <br /> <br />Date: <br /> <br />June 22,2006 <br /> <br />By: <br /> <br />1 <br /> <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor ~ LEGAL <br /> <br />P.O. Box 94600 <br />, .inN.ln. N1~ "11;:;119-460/1 <br /> <br />NEBR. DEPT. OF LABOR, <br />CHARGE ACCT. #14765 <br />, ~~ <br />